Individual
KIRSTEN E PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-2568
(573) 882-2226
Mailing address
PO BOX 843966, KANSAS CITY, MO 65212-0001
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2006020303
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127254
BLUE SHIELD
MO
01
—
762760
HEALTHLINK
MO
05
—
911562106
—
MO
01
—
P00377507
RR MEDICARE
MO
01
—
P00419167
RAILROAD MEDICARE
MO
Enumeration date
08/12/2006
Last updated
03/16/2018
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